Penis Pumps
One option for treating erectile dysfunction is a penis pump. A penis pump is a hollow cylinder that fits over the penis. Air is pumped out of the cylinder, creating a vacuum that draws blood into the penis and causes an erection.
Erectile Dysfunction Devices were one of the first treatments available for erectile dysfunction and have helped many men achieve erections. They provide a natural looking erection and allow for sexual activity right after use. For some men with situational ED caused by stress or fatigue, a pump can provide a reliable erection.
However, pumps do have some downsides. The erection produced may feel different than a natural one and some men find the device awkward or uncomfortable to use. Repeated use of a pump can damage the delicate erectile tissues in the penis over time if not used properly. Pumps are generally less effective for men with more severe ED.
Vacuum Therapy
Similar to a penis pump, vacuum therapy involves placing a plastic cylinder over the penis and using a pump or hand-held device to create a vacuum. This draws blood into the penis allowing for an erection. Vacuum devices are a popular option as they are relatively inexpensive and non-invasive.
However, like pumps, vacuum therapy does require some practice to get used to and may feel unnatural for some. Too much pressure can potentially cause bruising or small marks on the penis from the device. Skin irritation is another potential issue if not used correctly.
For those seeking a less conspicuous option than a pump, a manual vacuum device may be better tolerated. Simply squeezing and releasing the hand pump creates an erection without electronic equipment. However, erections produced still require direct stimulation for firmness.
Penile Prostheses
For men with severe ED not helped by oral medications or other therapies, a penile prosthesis may be an option. Commonly called a penile implant, this involves surgically placing malleable or inflatable rods inside the penis.
Malleable implants involve surgically implanting bendable rods that can be manually bent into an erect position and then locked into place for intercourse. While simple and effective at producing an erection, they must remain rigid during sex which some men find less natural.
More commonly used today are inflatable or bladder type implants. These consist of a pair of inflatable cylinders placed inside the penis, a pump placed in the scrotum, and a reservoir of fluid positioned in the lower abdomen. Squeezing the pump causes fluid to enter the cylinders, stiffening the penis for sex. Afterwards the penis becomes soft again.
These three-piece inflatable implants are highly effective at producing a natural looking erection but do require minor surgery for implantation. Risks include infection, mechanical failure, and scarring around the implant site over time. However, they provide the most natural form of erection with rigidity only during arousal.
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